T2100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-01-10 for T2100 manufactured by Ge Medical Systems Information Technologies, Inc..

Event Text Entries

[96840148]
Patient Sequence No: 1, Text Type: N, H10


[96840149] Treadmill started at inappropriately fast rate. Patient lost footing and slid onto knees and top of feet. Doctor present. No injury noted upon assessment. Patient assisted to stretcher. Treadmill test order changed to chemical stress instead of walking. Manufacturer response for treadmill, ge (per site reporter): ge biomed will come assess the treadmill. As of now, the equipment has been removed from service.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7178075
MDR Report Key7178075
Date Received2018-01-10
Date of Report2018-01-04
Date of Event2017-12-15
Report Date2018-01-04
Date Reported to FDA2018-01-04
Date Reported to Mfgr2018-01-04
Date Added to Maude2018-01-10
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameT2100
Generic NameTREADMILL, POWERED
Product CodeIOL
Date Received2018-01-10
Model NumberT2100
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerGE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES, INC.
Manufacturer Address8200 W TOWER AVE MILWAUKEE, WI 53223 WI 53223 US 53223


Patients

Patient NumberTreatmentOutcomeDate
10 2018-01-10

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